Gene Tyler Mcdonald (NPI# 1871573816, PAC ID# 5395777098) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA).
| Nation Provider ID (NPI) | 1871573816 |
| PAC ID by PECOS | 5395777098 |
| Professional Enrollment ID | I20071107000487 |
| Full Name | Gene Tyler Mcdonald |
| Organization Legal Name | ST LUCIE ANESTHESIA ASSOCIATES LLC |
| Address |
1800 Setiffany Ave Port Saint Lucie FL 34952-7521 |
| Phone Number | 7723354000 |
| Gender | M |
| Credential | CNA |
| Graduation Year | 2005 |
| Primary Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| Group Practice PAC ID | 4284792706 |
| Number of Group Practice Members | 94 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100252 | RAULERSON HOSPITAL |
| 050455 | ADVENTIST HEALTH BAKERSFIELD |
| Address | Phone | Organization |
|---|---|---|
| 2615 Chester Ave, Bakersfield, CA 93301-2014 | 6613953000 | VALLEY ANESTHESIA ASSOCIATES INC |
| 1796 Us Hwy 441 N, Okeechobee, FL 34972-1918 | 8637632151 | ST LUCIE ANESTHESIA ASSOCIATES LLC |
| 1800 Setiffany Ave, Port Saint Lucie, FL 34952-7521 | 7723354000 | ST LUCIE ANESTHESIA ASSOCIATES LLC |
| Organization Legal Name | ST LUCIE ANESTHESIA ASSOCIATES LLC |
| Physicians | 65 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Richard S Feltman | Anesthesiology | St Lucie Anesthesia Associates LLC | 1800 Setiffany Ave, Port Saint Lucie, FL 34952-7521 |
| Michele A Egerton | Certified Registered Nurse Anesthetist (crna) | St Lucie Anesthesia Associates LLC | 1155 Semonterey Rd Ext, Stuart, FL 34994-4617 |
| Marie D Koehler | Certified Registered Nurse Anesthetist (crna) | St Lucie Anesthesia Associates LLC | 555 Se5th Ave, Delray Beach, FL 33483-5212 |
| Tamala D Parsons | Certified Registered Nurse Anesthetist (crna) | St Lucie Anesthesia Associates LLC | 1796 Us Hwy 441 N, Okeechobee, FL 34972-1918 |
| Cheryl A Sorrentino | Certified Registered Nurse Anesthetist (crna) | St Lucie Anesthesia Associates LLC | 2096 Seocean Blvd, Stuart, FL 34996-3304 |
| Danielle Lyn Rudoff-perez | Certified Registered Nurse Anesthetist (crna) | St Lucie Anesthesia Associates LLC | 3602 Kyoto Gardens Dr, West Palm Beach, FL 33410-2713 |
| Julie A Shapiro | Certified Registered Nurse Anesthetist (crna) | St Lucie Anesthesia Associates LLC | 7261 Sheridan St, Hollywood, FL 33024-2706 |
| Victoria M Tramazzo | Certified Registered Nurse Anesthetist (crna) | St Lucie Anesthesia Associates LLC | 501 Glades Rd, Boca Raton, FL 33432-1419 |
| Dana C Darcy | Certified Registered Nurse Anesthetist (crna) | St Lucie Anesthesia Associates LLC | 16853 Ne 2nd Ave, Suite 400, North Miami Beach, FL 33162-1776 |
| Paul J Bruha | Anesthesiology | St Lucie Anesthesia Associates LLC | 995 Mar Walt Dr, Fort Walton Beach, FL 32547-6758 |
| Street Address |
1800 SETIFFANY AVE |
| City | PORT SAINT LUCIE |
| State | FL |
| Zip | 34952-7521 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Richard S Feltman | Anesthesiology | St Lucie Anesthesia Associates LLC | 1800 Setiffany Ave, Port Saint Lucie, FL 34952-7521 |
| Charles D Reams | Certified Registered Nurse Anesthetist (crna) | St Lucie Anesthesia Associates LLC | 1800 Setiffany Ave, Port Saint Lucie, FL 34952-7521 |
| Miyvetteshaune Green | Certified Registered Nurse Anesthetist (crna) | St Lucie Anesthesia Associates LLC | 1800 Setiffany Ave, Port Saint Lucie, FL 34952-7521 |
| Althea E Kenton | Certified Registered Nurse Anesthetist (crna) | St Lucie Anesthesia Associates LLC | 1800 Setiffany Ave, Port Saint Lucie, FL 34952-7521 |
| Julian Yepes | Anesthesiology | St Lucie Anesthesia Associates LLC | 1800 Setiffany Ave, Port Saint Lucie, FL 34952-7521 |
| Felice J Samuel | Anesthesiology | St Lucie Anesthesia Associates LLC | 1800 Setiffany Ave, Port Saint Lucie, FL 34952-7521 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Claudia Patricia Santamaria | Nurse Practitioner | Primary Care Associates, Pa | 8483 S Us, Suite 19, Port St Lucie, FL 34952 |
| Heather L Hackney | Qualified Audiologist | James L Autin Md Pa | 10377s Us One Hwy 101, Port Saint Lucie, FL 34952 |
| Cynthia J Rogers | Dermatology | 8503 S Us, Suite 1, Port St Lucie, FL 34952 | |
| Anthony Glenn Rogers | Anesthesiology | Port St Lucie Pain Management Pllc | 8235s Us Hwy 1, Port St Lucie, FL 34952 |
| Diane Leigh Pugh | Family Medicine | Primary Care Associates, Pa | 8483 S Us, Suite 19, Port St Lucie, FL 34952 |
| James L Autin | Otolaryngology | James L Autin Md Pa | 10377s Us One Hwy 101, Port Saint Lucie, FL 34952 |
| Carolyn A Rawdon | Nurse Practitioner | Primary Care Associates, Pa | 8483 S Us, Suite 19, Port St Lucie, FL 34952 |
| Kenneth Weiss | Otolaryngology | James L Autin Md Pa | 10377s Us One Hwy 101, Port Saint Lucie, FL 34952 |
| Ravi Mehan | Internal Medicine | Primary Care Associates, Pa | 8483 S Us, Suite 19, Port St Lucie, FL 34952 |
| Glynnis Jayne Lyons | General Practice | Primary Care Associates, Pa | 8483 S Us, Suite 19, Port St Lucie, FL 34952 |
| Find all physicians in zip 34952 | |||
| City | PORT SAINT LUCIE |
| Zip Code | 34952 |
| Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| City + Specialty | PORT SAINT LUCIE + CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.